Gestational Carrier & Surrogate Questionnaire

by Lawrence A. Kalikow, Esquire

If you are interested in being a gestational carrier or traditional surrogate, are in good health, are over twenty-one years of age, live in Pennsylvania or a nearby state (other than New York) and have previously given birth to at least one child, please send Mr. Kalikow an e-mail at lakalikow@aol.com or call him at (215) 682-9100.

 Mr. Kalikow represents intended parents who are waiting to find the right person to carry their child. To expedite things, you may wish to complete and send the preliminary questionnaire below.  

Thank you for completing this questionnaire. Your interest in being a gestational carrier and/or traditional surrogate is sincerely appreciated.